What is the treatment for endocervical thickening?

The endocervix is ​​what every woman wants to protect. In the current situation, many female diseases have occurred one after another. Endocervical thickening is a very common disease. Such a disease requires female friends to pay close attention. Many female friends do not pay attention to their own maintenance in daily life, which requires us to go to the hospital for regular check-ups.

For the treatment of atypical endometrial hyperplasia, we must first make a clear diagnosis and find out the cause. If it is accompanied by polycystic ovary, functional ovarian tumors, or other endocrine dysfunction, targeted treatment should be performed. At the same time, symptomatic treatment should be started immediately for those diagnosed with atypical endometrial hyperplasia, using medication or surgical treatment. The choice of plan should be determined based on the patient's age, fertility requirements, and physical health condition. For those under 40 years old, their tendency to cancer is low and drug treatment can be considered first. Young people who hope to have children should try drug treatment first, because after drug treatment, about 30% of patients may still become pregnant and give birth to a full-term baby. For women before and after menopause, the potential for cancer is higher than that of younger people, so hysterectomy is often performed directly.

1. The principle of drug treatment is

Model medication, long-term examinations, regular testing, and timely assisted pregnancy. Types of medication: ① The ovulation-inducing drug clomiphene is taken once a day on the 5th to 9th day of the cycle. If necessary, the medication period can be extended by 2 to 3 days. ② Progestin drugs: They vary according to the degree of endometrial atypicality. Mild atypical hyperplasia can be treated with intramuscular injection of progesterone, starting on the 18th or 20th day of the cycle, and taken for 5-7 days. Patients with moderate and severe atypical hyperplasia should use medroxyprogesterone continuously for a course of 3 months. After each course of treatment, a curettage or removal of endometrial tissue should be performed for histological examination. Depending on the response to the drug, the patient can choose to stop treatment or increase or decrease the dosage of the drug as appropriate. An intrauterine ring can also be placed.

2. Surgery

Curettage and aspiration is not only an important diagnostic method, but also one of the treatment methods. Because local lesions can also be removed through curettage. Patients with atypical endometrial hyperplasia who are over 40 years old and have no fertility requirements can undergo hysterectomy once diagnosed. However, for patients with hypertension, diabetes, obesity or advanced age who have poor tolerance to surgery, drug treatment may be considered under close follow-up monitoring. Young patients who have not responded to drug treatment, whose endometrial hyperplasia continues or worsens or is suspected of having developed cancer, whose vaginal bleeding cannot be controlled by curettage and drug treatment, and whose condition recurs after delivery, may all consider surgical removal of the hysterectomy.

The diagnosis relies on endometrial histology. The sampling methods include: endometrial biopsy, dilation and curettage, vacuum aspiration, and hysteroscopy. Since atypical endometrial hyperplasia often presents as scattered or single focal lesions, the entire endometrium may have various degrees of hyperplasia at the same time, and taking only a few tissue biopsies cannot reflect all changes in the endometrium. For perimenopausal women with atypical endometrial hyperplasia found during hysterectomy, 30%-50% of them also have well-differentiated adenocarcinoma. Therefore, it is very important to obtain comprehensive endometrial tissue from the uterine cavity for pathological examination. Compared with simply taking a few pieces of endometrial tissue, dilation and curettage can scrape more comprehensive tissue, but some areas may still be missed because the curette does not reach, especially the two uterine horns and the uterine fundus. Negative pressure suction can make the endometrium shed more completely, and the diagnosis will be more comprehensive and reliable. Hysteroscopy can not only observe the condition of the endometrium from its appearance, but also perform curettage or negative pressure aspiration under direct vision, making the examination and diagnosis more detailed and comprehensive.

The above is the treatment method for cervical endometrial thickening. I hope it will attract everyone’s attention. In many cases, we must gradually learn the habit of going to the hospital for examination, early detection, and early treatment. This is very good. Under such conditions, in order to avoid causing more serious illnesses, many diseases are discovered through early examinations, so that you will have a healthy body.